Neonatal Resuscitation

Medical Directive

Indications: For a newborn to < 30 days of age and severe cardio-respiratory distress or if child is less than full term or there was mucomium present or there is a poor APGAR score.

Resuscitation: Attempt to provide warmth, position and or clear the airway, dry and stimulate the neonate.

If after 30 seconds the patient is apnoeic, gasping or has a HR < 100 BPM provide positive pressure ventilation via BVM using room air.  Evaluate the patient’s HR after 30 seconds.  If the patent’s HR is more 60 BPM or more then continue with positive pressure ventilations (until HR is 100 BMP or more).

If the patient`s HR is or drops below 60 BPM begin chest compressions, provide positive pressure ventilations via BVM with 100% O2 and initiate transport.  Evaluate the patient after 30 seconds and if the patient’s HR remains less than 60 BPM continue with chest compressions and positive pressure ventilations via BVM with 100% O2.


Targeted Preductal SpO2(Right Hand)

60% - 65%65% - 70%70% - 75%75% - 80%80% - 85%85% - 95%